James Duddridge: It is good to be back at the Dispatch Box. We all worry about our own personal health and that of other families around us, so it is good to come together to discuss the health and fragility of people and refugees from around the world, most of whom, as the hon. Member for Bradford West (Naz Shah) said, are outside this country, although the ones with whom we are more familiar as constituency MPs are within this country.
I thank the hon. Member for Bethnal Green and Bow (Rushanara Ali) for securing this debate. Her regular parliamentary questions come from her travel throughout the area and from her advocacy. I recommend to the House her article in “Politics Home” entitled “Poor conditions in refugee camps make them a ticking time bomb for Covid”. Although a small contribution by volume, it covers all of the major points.
Although, party politically, we always go backwards and forwards on these issues, I genuinely believe that we have more in common here than we disagree on. That is not to say that we should not debate the periphery rigorously, but the broad thrust of what we want to do is the same. I always like to distil things down into a few words, but the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) distilled this issue down into two words: people first. It is very easy to talk about internally displaced people, refugees, acronyms and numbers of 80 million, but this all boils down to one person, one family. As the hon. Member for Canterbury (Rosie Duffield) said, we get up off the sofa to do ridiculous things by way of sport or endurance, but we are talking here about the lives of people who do not have any homes to go back to. Covid has made that situation a lot more complex.
Since the outbreak of the pandemic, we have been deeply concerned about the impact specifically on refugees and forcibly displaced populations, and so it is hugely welcome to discuss this as an issue. The latest figure quoted is 80 million and that includes internally and externally displaced people and refugees—people who have been forced to flee their homes as a result of persecution, conflict, violence and human rights violations. As many Members have said in different ways, one does not leave one’s home or flee across the border unless things are pretty dire. More people are internally displaced within their own countries. That is often less talked about. In fact, just to put a different number on it, one person is forcibly displaced every two seconds around the world, and that has happened for many, many years, rather than it being a temporary matter. In total, more than 1% of the world’s population at any given time is forcibly displaced, which is clearly shocking and serves as a stark reminder of the derailment of normal humanitarian hopes and aspirations, and that is further magnified by covid.
Mention was made of the promises of money. We have diverted £1.3 billion of aid to covid-specific issues, a proportion of which is specifically to assist those in the most vulnerable areas. We should be proud as a House and as a country to be spending 0.7% of GDP on international aid. The good news that GDP has come up a bit faster domestically will have an impact on what we are able to spend in the international community going forwards. That is good news not just for the UK economy, but for what we can do in terms of international development.
The impact of covid is massively amplified for vulnerable and marginalised groups such as refugees and other displaced people. There are currently 28,000 reported cases of covid across 100 countries that UN refugee agencies have as people of concern. That gives a broad number, and I hope to put a little bit of context around that as I continue.
Many find themselves living in close quarters without access to healthcare or shelter. They are in crowded camps in urban settings, where social distancing and basic handwashing are a challenge, as is isolation, and the idea of shielding is just for the birds; it is unrealistic. Even the aspiration we have in terms of density is three times greater than the density in Sao Paolo, which is one of the most populated towns in the world. Even if we get the density we aspire to in camps, it is still very close quarters.
Refugees also have the problem of not being able to access essential services, whether those are linguistic or legal, or to have basic information. We are all concerned about the secondary impacts of covid around the world, and those are just as important for refugees, and potentially more important relative to the impacts on the UK. There is less opportunity to learn, earn a living, save money and access basic assistance, and they are much more likely to face eviction and school closures. They are much more likely to be blamed for covid. There is rising xenophobia, to paraphrase the hon. Member for Strangford (Jim Shannon), and other risks. That can lead to all sorts of additional problems.
We know that around the world there will be greater gender inequality. Girls’ education in particular will be derailed. There is increased domestic violence and the  risk of sexual exploitation, abuse and harassment. That again, sadly, is particularly the case for refugees. There will be marginalisation, social exclusion and stigma, which may mean that health services are not prioritised for those most in need.
The areas where people are refugees are predominantly to be found in neighbouring countries, which already have weaker health systems, weaker water systems and weaker sanitation systems. They are already very much under pressure, so our aid budget is aiming to assist on covid overall, but British expertise is also working to stop the spread of covid.
Members mentioned vaccines, which we are delivering through Gavi and the Coalition for Epidemic Preparedness Innovations. The Prime Minister was clear earlier this week that world leaders have a moral duty to ensure that vaccines, treatments and tests are truly available to all, and that will be the best defence to enable collective security and reduce the risk of outbreaks. It is in those people’s interests, but also in the national interest.